# CONCORD HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONCORD HEALTHCARE & REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699740894
- **Authorized official:** MR. COLEV J GESTETNER (MANAGING MEMBER)
- **Authorized official phone:** (732) 367-7444

## Contact information

- **Practice address:** 963 OCEAN AVE, LAKEWOOD, NJ 08701-3649
- **Practice address phone:** (732) 367-7444
- **Practice address fax:** (732) 367-7603
- **Mailing address:** 963 OCEAN AVE, LAKEWOOD, NJ 08701-3649
- **Mailing address phone:** (732) 367-7444
- **Mailing address fax:** (732) 367-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NJ061519 | NJ | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014613 | — | NJ |